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Gastrogastric fistula after gastric bypass--is surgery always needed?
Obes Surg. 2006 Nov; 16(11):1548-51.OS

Abstract

Because of regain of weight to BMI 37.1 kg/m(2) 6 years after a VBG, a 41-year-old female now underwent revision to divided Roux-en-Y gastric bypass, performed laparoscopically. 12 days postoperatively, she started bleeding from the main stomach, and CT scan revealed that the bypassed stomach was distended with clot. She was treated conservatively and stopped bleeding. Upper GI series 2 weeks postoperatively revealed a large gastrogastric fistula between the tiny pouch and the bypassed stomach. We initially planned to close the fistula. However, upper GI series 2 months and 4 months postoperatively showed no sign of gastrogastric fistula, and proton pump inhibitors were stopped. At 1 year after gastric bypass, our patient has had good weight loss.

Authors+Show Affiliations

Department of Abdominal Surgery, AZ Groeninge Hospital Campus St.-Niklaas, Kortrijk, Belgium. mathieudhondt2000@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17132425

Citation

D'Hondt, Mathieu, et al. "Gastrogastric Fistula After Gastric Bypass--is Surgery Always Needed?" Obesity Surgery, vol. 16, no. 11, 2006, pp. 1548-51.
D'Hondt M, Vansteenkiste F, Van Rooy F, et al. Gastrogastric fistula after gastric bypass--is surgery always needed? Obes Surg. 2006;16(11):1548-51.
D'Hondt, M., Vansteenkiste, F., Van Rooy, F., & Devriendt, D. (2006). Gastrogastric fistula after gastric bypass--is surgery always needed? Obesity Surgery, 16(11), 1548-51.
D'Hondt M, et al. Gastrogastric Fistula After Gastric Bypass--is Surgery Always Needed. Obes Surg. 2006;16(11):1548-51. PubMed PMID: 17132425.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastrogastric fistula after gastric bypass--is surgery always needed? AU - D'Hondt,Mathieu, AU - Vansteenkiste,Franky, AU - Van Rooy,Frank, AU - Devriendt,Dirk, PY - 2006/11/30/pubmed PY - 2007/2/9/medline PY - 2006/11/30/entrez SP - 1548 EP - 51 JF - Obesity surgery JO - Obes Surg VL - 16 IS - 11 N2 - Because of regain of weight to BMI 37.1 kg/m(2) 6 years after a VBG, a 41-year-old female now underwent revision to divided Roux-en-Y gastric bypass, performed laparoscopically. 12 days postoperatively, she started bleeding from the main stomach, and CT scan revealed that the bypassed stomach was distended with clot. She was treated conservatively and stopped bleeding. Upper GI series 2 weeks postoperatively revealed a large gastrogastric fistula between the tiny pouch and the bypassed stomach. We initially planned to close the fistula. However, upper GI series 2 months and 4 months postoperatively showed no sign of gastrogastric fistula, and proton pump inhibitors were stopped. At 1 year after gastric bypass, our patient has had good weight loss. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/17132425/Gastrogastric_fistula_after_gastric_bypass__is_surgery_always_needed L2 - https://dx.doi.org/10.1381/096089206778870076 DB - PRIME DP - Unbound Medicine ER -